Data Acquisition and Signal Pre-Processing:

 

                Analog / Digital Conversion:                12-bit A/D conversion (Minimum … 16-bit if possible)

                                                                                Least-Significant-Bit (LSB) value:  2.5 μV / AD value

                                                                                10 channels (electrodes) converted to 12 standard ECG leads

                                                                                Primary Sample Rate: 2000 Hz / channel

                                                                                Bridge filter to 500Hz / lead

                                                                                Least-Significant-Bit (LSB) value:  2.5 μV / AD value

                                                                                Dynamic Range: ±10 mV

 

                Digital Filters:                                        FDA / AHA Recommended 0.05 – 125 Hz

                                                                                50 / 60 Hz AC notch (AC mains) filter … selectable

 

                Other:                                                      Noise Detection/Levels

                                                                                Lead Quality (Leads OFF detection)

                                                                                Pacemaker detection.

 

Signal-Processing and Features:

 

                Real-Time Heart-Rate:                         Updated every 6 - 8 seconds

                                                                                Range: 15 – 300 bpm

 

                Real-Time Arrhythmia Detection:       PVCs, Couplets, Triplets, Atrial Fib or Flutter, Ventricular Tachycardia,

                                                                                Bradycardia, Rate-dependent Bundle-Brach-Blocks, Pacemaker

                                                                                Detection, Asystole and Other Rhythm disturbances.

 

                Additional Digital Filters:                     All selectable - DISPLAY ONLY - Analyzed data is Unfiltered

(Non-diagnostic)                                                                                              and is in separate data-stream

                                                                                0.5 Hz Baseline Highpass

                                                                                40 Hz  Lowpass FIR ( … for muscle artifacts )

                                                                                Cubic-Spline (Baseline wander … optional)

 

                Other:                                                      Additional Noise Detection/Levels

                                                                                Lead Quality Processing (Leads OFF detection)

                                                                                Accommodate Pacemaker (if present)

 

Performance :       

 

Heart-Rates :                                           15 – 300 bpm

Dynamic Range :                                    ±10 mV 

ST-Levels tested :                                    ±5 mV 

ST-Slopes tested :                                    ±5 mV/sec 

QRS-durations :                                       54 – 360 msec

Maximum PR-int :                                   350 msec

Maximum QT-int :                                   650 msec

 

Research for life.

Text Box: ECG Acquisition & Display

Display:

 

Standard 12-Leads:                                               I, II, III, aVR, aVL, aVF, V1, V2, V3, V4, V5, V6.

 

                Display Formats :                                   6 X 2 Leads

                ( Sequential lead rotation )                      3 X 4 Leads

3 X 4 + 1 Rhythm Lead   ( user selectable Rhythm Lead )

3 X 4 + 3 Rhythm Leads ( user selectable Rhythm Leads )

3 Rhythm Leads        ( user selectable Rhythm Leads )

Exercise: Baseline and Current Averaged beats with ST-measures

 

                Speeds ( mm / sec ) :                              5,   6.25,   10,   12.5,   25,   50,   100

 

                Gains (μV/ mm ) :                                 400,   200,   100,    50,    25

                ( mm / mV  ) :                         2.5,      5,      10,     20,    40

 

                Grid Sizes :                                             5 mm X 5 mm + 1 mm dots ( Fixed … Standard )

                                                                                Smart-Grid : Proportional Speed and Gain Tracking

 

                Grid Colors :                                          Light RED ( Standard )

                                                                                Light GREEN

                                                                                AMBER / ORANGE

                                                                                Light BLUE

                                                                                -OFF- ( No GRID -  WHITE background only )

 

                Digital Display Frequency :                  500 Hz - at all combinations of Speed and Gain

 

                Display Filters :                                      - NONE -  ( 0.05 – 125 Hz with 60 Hz AC notch … diagnostic )

                                                                                0.5 Hz Baseline Highpass

                                                                                40 Hz  Lowpass FIR ( for muscle artifacts )

 

                Digital Step Reduction :                        High-velocity anti-aliasing ( “blurs” QRS to reduce visual steps )

                                                                                               

 

                ECG Waveform Display Accuracy :    < 1% error at all Speed/Gain combinations for all frequencies in

                                                                                diagnostic range (  0.05 – 125 Hz )

                                                                                ( Note : User-selected display filters will affect amplitude and frequency

                                                                                content of displayed ECG waveforms to varying degrees )

 

                Main ECG Display Status Line :         Patient Last Name,  First Name

                                                                                Heart-Rate

                                                                                Current Speed / Gain

                                                                                Current Filters Selected

                                                                                Lead Noise and Lead Fault Status

 

                Status Indicators ( messages ) :            Speed/Gain Changes

                Automatic                                                Lead Faults              ( each lead )

                                                                                Excessive Noise       ( each lead )

 

                Red-Line Redux ( each lead  ) :            Lead Fault -  Thick, Flat RED-Line

                                                                                Moderate  Lead Noise - Thin   RED-Line ECG waveform

                                                                                Excessive Lead Noise - Thick RED-Line ECG waveform

                                                                                -OKAY- Normal ECG waveform